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Maine rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $172.45 / $318.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.18 / $218.38 / $404.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.30 / $150.00 / $218.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $235.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $126.72 / $226.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $151.44 / $151.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $172.44 / $318.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $185.31 / $371.56